Individual provider Active NPI

Christine Shana Boehmer, PA-C

  • Physician Assistant
  • Cleveland, OH
National Provider Identifier
1134840903
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085010137 Issued in IL
Practice address
3569 Ridge Rd
Cleveland, OH 44102-5443
Phone
(216) 281-0872
Fax
(216) 281-9721
NPI assigned
Sep 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085010137 IL Primary

Addresses

Primary practice location

3569 Ridge Rd
Cleveland, OH 44102-5443

Mailing address

2755 N Lincoln Ave Apt 3
Chicago, IL 60614-7438

Other practice location 1

3204 W 26th St
Chicago, IL 60623-4031
Phone (773) 927-3100

Other practice location 2

3700 W 26th St
Chicago, IL 60623-3824
Phone (773) 542-5203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240603002486 IL Practitioner - Physician Assistant 7810439189 Reassigns benefits to 1 organization
I20251103003923 OH Practitioner - Physician Assistant 7810439189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neighborhood Health Care IncorporatedGroup PAC ID 2668466012, 68 clinicians

Practice addresses (Care Compare)

14625 Puritas Ave
Cleveland, OH 44135-2815
Phone (216) 281-0872

3569 Ridge Rd
Cleveland, OH 44102-5443
Phone (216) 281-0872

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Access Community Health Network CurrentSince May 30, 2024 Accepting new patients
Neighborhood Health Care Incorporated CurrentSince Aug 11, 2025 Accepting new patients
Neighborhood Health Care Incorporated CurrentSince Aug 11, 2025 Accepting new patients
Access Community Health Network CurrentSince May 30, 2024 Accepting new patients
Neighborhood Health Care Incorporated Current Accepting new patients
Neighborhood Health Care Incorporated Past Accepting new patients
Neighborhood Health Care Incorporated Past Accepting new patients
Neighborhood Health Care Incorporated Past Accepting new patients
Neighborhood Health Care Incorporated Past Accepting new patients
Neighborhood Health Care Incorporated Past Accepting new patients
Neighborhood Health Care Incorporated Past Accepting new patients

Locations

3700 W 26th St
Chicago, IL 60623
Phone (773) 542-5203

3204 W 26th St
Chicago, IL 60623
Phone (773) 927-3100

600 W Fulton St
Ste 200
Chicago, IL 60661
Phone (312) 526-2000

14625 Puritas Ave
Cleveland, OH 44135
Phone (216) 928-1950

3545 Ridge Rd
Ste 2
Cleveland, OH 44102
Phone (216) 961-6860

2358 Professor Ave
Cleveland, OH 44113
Phone (216) 334-2800

13027 Lorain Ave
Cleveland, OH 44111
Phone (216) 688-1046

6412 Franklin Blvd
Cleveland, OH 44102
Phone (216) 363-7733

4115 Bridge Ave
Ste 300
Cleveland, OH 44113
Phone (216) 237-6129

3569 Ridge Rd
Cleveland, OH 44102

11906 Madison Ave
Lakewood, OH 44107

Interoperability endpoints

  • Direct secure messaging: cboehmer823061@direct.ochin.org

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 20

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1134840903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 N LINCOLN AVE APT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606147438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3569 RIDGE RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441025443",
            "telephone_number": "216-281-0872",
            "fax_number": "216-281-9721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3204 W 26th St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606234031",
            "country_code": "US",
            "telephone_number": "773-927-3100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3700 W 26th St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606233824",
            "country_code": "US",
            "telephone_number": "773-542-5203",
            "fax_number": "773-927-3557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOEHMER",
        "first_name": "CHRISTINE",
        "middle_name": "SHANA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-08",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085010137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.